Individual provider Active NPI

Pisit Rangsithienchai, M.D.

  • Specialist
  • Oak Forest, IL
National Provider Identifier
1982718912
Registry record updated May 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
36-48818 Issued in IL
Practice address
5601 Victoria Dr
Oak Forest, IL 60452-2134
Phone
(708) 687-7550
Fax
(708) 687-7552
NPI assigned
Aug 18, 2006
Last updated
May 5, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 36-48818 IL Primary
Allergy & Immunology Physician 207K00000X 36-48818 IL

Addresses

Primary practice location

5601 Victoria Dr
Oak Forest, IL 60452-2134

Mailing address

1809 Cardinal CT
Flossmoor, IL 60422-2049

Other identifiers 1

IdentifierTypeStateIssuer
036048818MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090413000284 IL Practitioner - Allergy/ImmunologyPractitioner - Pediatric Medicine 6103973045 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pediatric Medicine
Education
Other, 1970
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

5601 Victoria Dr
Oak Forest, IL 60452-2134

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
36-48818ILMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Angspatt Pisit MD SC Specialist CurrentSince Jan 2, 1940 Accepting new patients
Dr. Pitud, M.D., Allergy and Asthma, LTD. Single Specialty PastSince Apr 13, 2009 Accepting new patients

Locations

5601 Victoria Dr
Oak Forest, IL 60452
Phone (708) 275-9669

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FBCDCA
  • FHIR API: https://fhir4.healow.com/fhir/r4/FBCDCA/Endpoint/FBCDCA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714867200000",
    "number": "1982718912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1809 CARDINAL CT",
            "city": "FLOSSMOOR",
            "state": "IL",
            "postal_code": "604222049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 VICTORIA DR",
            "city": "OAK FOREST",
            "state": "IL",
            "postal_code": "604522134",
            "telephone_number": "708-687-7550",
            "fax_number": "708-687-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANGSITHIENCHAI",
        "first_name": "PISIT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-18",
        "last_updated": "2024-05-05",
        "certification_date": "2024-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IL",
            "license": "36-48818",
            "primary": true
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "IL",
            "license": "36-48818",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036048818",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Forest, IL

Sources for this page

Verify at the official NPI Registry.